Form MO780-1136 "Oil and Gas Confirmation of out of State Irrevocable Letter of Credit - Geological Survey Program" - Missouri

What Is Form MO780-1136?

This is a legal form that was released by the Missouri Department of Natural Resources - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2018;
  • The latest edition provided by the Missouri Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MO780-1136 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

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Download Form MO780-1136 "Oil and Gas Confirmation of out of State Irrevocable Letter of Credit - Geological Survey Program" - Missouri

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MISSOURI DEPARTMENT OF NATURAL RESOURCES
GEOLOGICAL SURVEY PROGRAM
OIL AND GAS CONFIRMATION OF OUT OF STATE
IRREVOCABLE LETTER OF CREDIT
CONFIRMING BANK AGREEMENT
We, the _________________________________________________________________________________________________________________
NAME OF CONFIRMING BANK
of ______________________________________________________________________________________________________________________
ADDRESS OF CONFIRMING BANK
at the request of __________________________________________________________________________________________________________
NAME OF ISSUING BANK
of _____________________________________________________________________________________________________________________
ADDRESS OF ISSUING BANK
hereby confirm Irrevocable Letter of Credit No. ____________________________________________
date issued _________________________
issued by _______________________________________________________________________________________________________________
NAME OF ISSUING BANK
to you in the amount of _______________________ dollars, a copy of which is attached hereto and incorporated by reference.
Correspondence concerning this Confirmation, including demands for payment, shall be addressed to us at __________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
CONFIRMATION
By this Confirmation we undertake to honor each demand for payment made by you under the above-referenced Letter of Credit and presented to us
according to its terms, up to the amount stated above. Payment of each demand shall be as specified in the above-referenced Letter of Credit. This
Confirmation shall be subject to all terms, conditions, warranties and limitations in the above-referenced Letter of Credit, and this Confirmation shall
terminate only under the conditions and limitations of the above-referenced Letter of Credit. When construing this Confirmation according to the terms,
conditions and limitations of the above referenced Letter of Credit, the term “this Confirmation” shall be substituted for the term “this Letter of Credit.”
We, the confirming bank, certify that the officer or agent signing this letter is authorized by us to execute this Confirmation of Letter of Credit on our
behalf.
CONFIRMING BANK AGENT SIGNATURE
PRINTED NAME
OFFICIAL TITLE
PRIMARY PHONE NUMBER WITH AREA CODE
EMAIL ADDRESS
NOTARY PUBLIC EMBOSSER OR RUBBER STAMP SEAL
SUBSCRIBED AND SWORN BEFORE ME, ON THIS
DAY OF
IN THE YEAR
STATE
COUNTY
MY COMMISSION EXPIRES
NOTARY PUBLIC SIGNATURE
NOTARY PUBLIC NAME (PRINT)
COUNTER SIGNATURE
PRESIDENT OR VICE-PRESIDENT SIGNATURE
PRINTED NAME
OFFICIAL TITLE
NOTARY PUBLIC EMBOSSER OR RUBBER STAMP SEAL
SUBSCRIBED AND SWORN BEFORE ME, ON THIS
DAY OF
IN THE YEAR
STATE
COUNTY
MY COMMISSION EXPIRES
NOTARY PUBLIC SIGNATURE
NOTARY PUBLIC NAME (PRINT)
MO 780-1136 (03-18)
SEND ORIGINAL COMPLETED FORM AND ORIGINAL FINANCIAL ASSURANCE INSTRUMENT TO: MISSOURI DEPARTMENT OF NATURAL RESOURCES,
MISSOURI GEOLOGICAL SURVEY, GEOLOGICAL SURVEY PROGRAM, PO BOX 250, ROLLA, MO 65402
PHONE: 573-368-2100 FAX: 573-368-2111 EMAIL:
oilandgas@dnr.mo.gov
MISSOURI DEPARTMENT OF NATURAL RESOURCES
GEOLOGICAL SURVEY PROGRAM
OIL AND GAS CONFIRMATION OF OUT OF STATE
IRREVOCABLE LETTER OF CREDIT
CONFIRMING BANK AGREEMENT
We, the _________________________________________________________________________________________________________________
NAME OF CONFIRMING BANK
of ______________________________________________________________________________________________________________________
ADDRESS OF CONFIRMING BANK
at the request of __________________________________________________________________________________________________________
NAME OF ISSUING BANK
of _____________________________________________________________________________________________________________________
ADDRESS OF ISSUING BANK
hereby confirm Irrevocable Letter of Credit No. ____________________________________________
date issued _________________________
issued by _______________________________________________________________________________________________________________
NAME OF ISSUING BANK
to you in the amount of _______________________ dollars, a copy of which is attached hereto and incorporated by reference.
Correspondence concerning this Confirmation, including demands for payment, shall be addressed to us at __________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
CONFIRMATION
By this Confirmation we undertake to honor each demand for payment made by you under the above-referenced Letter of Credit and presented to us
according to its terms, up to the amount stated above. Payment of each demand shall be as specified in the above-referenced Letter of Credit. This
Confirmation shall be subject to all terms, conditions, warranties and limitations in the above-referenced Letter of Credit, and this Confirmation shall
terminate only under the conditions and limitations of the above-referenced Letter of Credit. When construing this Confirmation according to the terms,
conditions and limitations of the above referenced Letter of Credit, the term “this Confirmation” shall be substituted for the term “this Letter of Credit.”
We, the confirming bank, certify that the officer or agent signing this letter is authorized by us to execute this Confirmation of Letter of Credit on our
behalf.
CONFIRMING BANK AGENT SIGNATURE
PRINTED NAME
OFFICIAL TITLE
PRIMARY PHONE NUMBER WITH AREA CODE
EMAIL ADDRESS
NOTARY PUBLIC EMBOSSER OR RUBBER STAMP SEAL
SUBSCRIBED AND SWORN BEFORE ME, ON THIS
DAY OF
IN THE YEAR
STATE
COUNTY
MY COMMISSION EXPIRES
NOTARY PUBLIC SIGNATURE
NOTARY PUBLIC NAME (PRINT)
COUNTER SIGNATURE
PRESIDENT OR VICE-PRESIDENT SIGNATURE
PRINTED NAME
OFFICIAL TITLE
NOTARY PUBLIC EMBOSSER OR RUBBER STAMP SEAL
SUBSCRIBED AND SWORN BEFORE ME, ON THIS
DAY OF
IN THE YEAR
STATE
COUNTY
MY COMMISSION EXPIRES
NOTARY PUBLIC SIGNATURE
NOTARY PUBLIC NAME (PRINT)
MO 780-1136 (03-18)
SEND ORIGINAL COMPLETED FORM AND ORIGINAL FINANCIAL ASSURANCE INSTRUMENT TO: MISSOURI DEPARTMENT OF NATURAL RESOURCES,
MISSOURI GEOLOGICAL SURVEY, GEOLOGICAL SURVEY PROGRAM, PO BOX 250, ROLLA, MO 65402
PHONE: 573-368-2100 FAX: 573-368-2111 EMAIL:
oilandgas@dnr.mo.gov